| NPI | 1588403521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4549) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI APRN-4549) |
| 207Q00000X Family Medicine (Licence: HI F02240933) | |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-08-19 |